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Tell Them More!

Tell Them More!. Dr. Muchai Gachago M.B.Ch.B . M.Med .( Ophthal ). ICO. FEACO. Hmmmm …. What to tell eye care workers that they don’t already know?. Tonnes of glaucoma!!! 1. 65m (2002) 80m(2020) Bilaterally B lind 8.4m. Lots untreated!!!. West: >50% undiagnosed.

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Tell Them More!

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  1. Tell Them More! Dr. Muchai Gachago M.B.Ch.B. M.Med.(Ophthal). ICO. FEACO

  2. Hmmmm… • What to tell eye care workers that they don’t already know?

  3. Tonnes of glaucoma!!!1 • 65m (2002) • 80m(2020) • Bilaterally Blind 8.4m

  4. Lots untreated!!! • West: >50% undiagnosed. • India: 93% undiagnosed.2 • Africa: Afraid to imagine!!!

  5. This little % How are we handling it??? We can look at: • Knowledge status • State at presentation • Compliance • Progression of the condition

  6. This little % How are we handling it??? We can look at: • Knowledge status • State at presentation • Compliance • Progression of the condition

  7. Knowledge status • Source: Eye care worker - 90% • Name the condition: • 60% • 7% something close.

  8. Big 3 in glaucoma!!! • Optic Neuropathy: • Raised IOP: • VF loss:

  9. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: • VF loss:

  10. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: 40% • VF loss:

  11. Big 3 in glaucoma!!! • Optic Neuropathy: 20% • Raised IOP: 40% • VF loss: 10%

  12. Beyond the big 3!!! • Blinding 75% • Permanent 65%

  13. Expectations

  14. Knowledge & Motivation • ↑knowledge → ↑motivation & adherence3

  15. What to do? • Spend a little more time talking. Only 18% had been counseled. Start thinking of ways to reach the other 95%

  16. THANK YOU!!

  17. References • Resnikoff S, et al. Bulleting of the World Health Organization 2002 pg 844-851. • SannapaneniK, et al. Awareness of glaucoma in the rural population of Southern India. Indian J. Ophthalmol 2005; 53: 205-208. • Cook PF, Bremer RW, Ayala AJ, Kahook MY. Feasibility of motivational interviewing delivered by a glaucoma educator to improve medication adherence. Clinical Ophthalmology 2010; 4: 1091–1101.

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